| NPI | 1033341359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60098624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00174486) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2014-04-16 |